estrogenic effect of orthopedic - egyptianjournal.xyzegyptianjournal.xyz/2_9.pdf · tion of ddt...
TRANSCRIPT
-
The Egyptian Journal of Hospital Medicine Vol., 2 : 108 – 120
March, 2001 I.S.S.N: 12084
Estrogenic Effect of Orthopedic
DDT on the Female Genital
Organs of Mice
Raifa F. El Garieb National Centre for Radiation Research and Technology
Abstract :
Insecticide DDT (an organochlorine compound) has been used excessively and
widely all over the world. It was shown that orthopedic DDT (o-p'-DDT) a major
constituent of technical grade preparation of the pesticide- DDT exhibited estrogenic
activity in several animals species (Welch et al., 1969 and Bitman et al., 1968).
The aim of this work is to study the estrogenic effects of o-p'-DDT on the female
reproductive organs (ovary, uterus and vagina) of mice in its neonatal period.
In this study fifty of newly-born female mice were used and divided into five
groups; three groups of them were received ten intraperitoneal injections of o-p'- DDT
in doses of 0.25, 0.5 and 1mg/injection. The study included two control groups, the first
one was injected with 10 ugm estrogen for 10 injections and considered as positive
control, while the second group injected with sesame oil only. The animals were
scarified 2 days after the last injection. Paraffin and frozen sections were prepared for
both histological and histochemical studies. Different staining techniques were used
including Hx., E., modified gomori stain for alkaline phosphatase enzyme, methyl green
pyronin for RNA and PAS stain for glycogen content.
The results showed a distinct increase in number and size of ovarian growing
follicles in those animals treated with o-p'-DDT, also, increased activity of the alkaline
phosphatase enzyme, as well as increased content of RNA and glycogen was noticed.
The effect of o-p'-DDT on the uterine structure were in the form of hypertrophy of the
endometrial epithelium, also increase in number of uterine glands. Marked increase in
the activity of alkaline phosphatase enzyme and also in RNA content as well as
glycogen deposition.
It was noticed also that high dose of o-p'-DDT leads to accelerated development
of the vaginal epithelium with evidence of keratinization. The histochemical changes in
the vagina were similar to those obtained in the uterus.
It can be finally concluded that the obtained results after use of o-p'-DDT were
similar to those obtained by estrogen, and this may interfere with implantation of ova
and pregnancy.
Refree : Prof . Moustafa Ismail.H.
-
Raifa F. EL Garieb
109
Introduction :
The toxicity of various pesticides is of
general importance because of their
wide use in agriculture. While these
pesticides destroy insects, they may
have a direct action on the reprod -
uction of birds and mammals confined
to the treated fields. Diminished reprod
-uction of various species following
consumption of diets containing resid -
ues of DDT (organochlorine compound)
have been suggested by several reports
(Bitman et al., 1968; Welch et al., 1969;
and Kupfer & Bulger, 1976).
It has found that DDT and its
closely related compounds exhibited
estrogenic effects (Heinrichs et al.,
1971). Technical commercial prepara -
tion of DDT contained o-p'-DDT and
p,p'-DDT isomers, constituting about
20% to 80% of the pesticide prepa -
ration, respectively. Reports indicate
that o-p'-DDT and p-p'-DDT mimic
various hormonal actions of oestrogen
in various species of birds and mam -
mals (Bitman et at, 1968).
In birds and mammals estrogen
plays a critical role in female reprodu -
ction. In mammals, structural changes
in vagina, uterus and 'duct are affected
by estrogens and proper ovarian stru -
cture and ovarian structure and funct -
ion becomes critical for reproduction
(Turner and Bagnara, 1976).
Treatment of immature chickens,
rat and Japanese quail with o-p'-DDT
produced an increase in weight, water
content, glycogen and RNA in uteri and
oviducts (Levin el aL, 1968; Conney
and Btirns, 1972).
The o-p'-DDT isomer also
advanced puberty, induced persistent
estrus and caused ovaries to develop
follicular cysts and reduced the number
of corpora lutea in rats (Heinrichs et aL,
1971; Wren et aL, 1971).
Injection of o-p'-DDT into neon
-atal rats produced vascularization and
hypertrophy of the cells in the endomet
-rium, metaplastic changes which interf
-ere with implantation of the fertilized
ova, these findings and the decrease of
gonadotropins suggest that neonatal exp
-osure to estrogenic pesticides such as
o-p'-DDT may permanently affect the
sensitivity of hypothalamic-hypophysial
axis and the uterus to endogeneous
estrogen (Gellert et aL, 1972; 1974).
Estrogen plays an important role
in increasing the activity of alkaline
phosphatase activity in female genital
organs (Filipe and Dowson, 1968) also
it was found that estrogen produced an
increase in the endometrial mucopoly -
saccharide concentration (Huber, 1965).
The functional relationship betw -
een DNA and RNA mediated protein
synthesis was under the control of
estrogen (Edwards 1967).
Laguens (1964) suggested that
estrogen act upon the nuclear synthesis
and secondary release of nuclear RNA
into the cytoplasm.
It was reported that human bre -
ast milk is contaminated with DDT and
its analogs (Wilson et aL, 1973).
Another report indicates that o-
p'-DDT and p,p-DDT are not only
found in mother milk but also in baby's
formula milk and consequently the
babies are exposed to the same toxic
hazards as breast fed babies (Cockson
and Morgan, 19 76).
The passage of estrogenic pestic
-ides through mother's milk to the
developing offspring will have a critical
influence on the development of female
as well as male reproductive organs.
108
-
Estrogenic Effect of Orthopedic
110
Current studies indicate that there is a
critical period in the development
during which the undifferentiated
hypothalams is sensitive to gonadal
hormones in circulation. In species
such as rat or mouse, the sensitivity
period is up to 8 days afterbirth (Turner
and Bagnara, 1976). It was felt advis -
able that the stud of the mechanism of
action of DDT and its effects on the
reproductive systems of different spec -
ies of animals in neonatal period is
highly indicated.
This study was planned to
evaluate the morphological and histoc -
hemical changes after the use of o-p'-
DDT on the female reproductive organs
namely (ovary, uterus and vagina) early
in the post-natal life which represent the
critical period in the development of
such organs.
Material and Methods:
In this study fifty Swiss-Webster
female mice were used and divided into
5 groups; three groups were injected
intraperitoneally with o-p'-DDT in a
doses of 0.25 mg, 0.5 mg and I mg
/injection dissolved in 0. I ml sesame oil
for ten days, the fourth group received
10 injections of 10 ug/injection of estr -
ogen, while the last group received sesa
-me oil only and considered as control.
Theinjection started on the first day
after birth. The animals were termin -
ated 2 days after the last injection.
The entire reproductive organs
from each female mice were removed,
paraffin and frozen sections were prep -
ared and cut for both morphological and
histochemical studies.
Different staining techniques
were used; heamatoxylin and eosin
(Culling.1974) for the morphological
changes, modified Gomorl stain for
localization of the alkaline phosphatase
enzyme activity (Pearse 1968). Methyl
green pyronin stain for staining the
RNA (Drury and Walington,1980) and
finally PAS stain for study the glycogen
content (Drury and Walington, 1980).
Results :
(I) The morphological results : a- Ovary : It was noticed that ovaries from a
12-day-old mouse which injected with
sesame oil only showed a large number
of primary oocytes and few number of
small growing follicles. After injection
with o-p'-DDT in doses of 0.25 mg and
0.5 mg/injection for ten injections the
ovaries were characterized by mild
increase in the number of growing
follicles. However, a distinct increase
in both the number and the size of
growing follicles was evident in ovaries
after the injection with 1mg/injection of
o-p'-DDT for ten days specially when
compared with those of the control
ovaries (Fig. 1,2).
b- Uterus : In this study, it was noticed that
the endometrial changes was variable.
After injection with o-p'-DDT in doses
of 0.25 mg or 0.5 mg/injection ednom
etrial epithelial hypertrophy was noticed
together with increase number of
glands. After the injection of 1 mg/inje-
ction of o-p'-DDT for ten days the
endometrial epithelium was of tall
columnar type with numerous glands
(Fig. 3,4).
c- Vagina : In this study, the vaginal
epithelium of a 12-day-old mouse injec
-ted with sesame oil only was formed of
two or three cubodial cells resting on
loose stromal C.T. After the injection of
o-p'-DDT in doses of 0.25 mg and 0.5
mg/injection for 10 days, thickening of
vaginal epithelium was a prominent
feature, while daily injection of 1 mg o-
p'-DDT for ten days induced a more
-
Raifa F. EL Garieb
111
rapid development of vaginal epithe
lium which exhibited a distinct basal
cell layer, stratum spinosum and
stratum granulosum with dark-staining
keratohyaline granules and extensive
keratinization. The vaginal canal contai
-ns desquamated keratinized cells with
leucocytes (Fig. 5,6).
(II) The histochemical results :
a- Changes in the alkaline phosphatase
enzyme :
It was noticed that the injection
of o-p'-DDT in its different doses
greatly affect the activity of alkaline
phosphatase enzyme also, such enzy -
matic changes were dose related.
A definite increase in alkaline
phosphatase activity was noticed in the
ovarian follicles, epithelial lining of
both uterus and vagina together with the
endometrial glands (Fig. 7-12).
b- Changes in the ribonucleic acid
(RNA) content :
It was noticed that the injection of
o-p'-DDT does not affect the DNA
content in the different organ studied.
While the RNA content was greatly
affected after the injection of different
doses of such insecticide. The amount
of RNA was noticed to be increased in
the ovarian follicles, lining epithelium
of both uterus and vagina together with
cells of the endometrial glands. Such
changes were dose related to the
injected insecticide (Fig. 13-18).
c- Changes in the glycogen content :
Increase in the glycogen contents
in the ovarian follicles, epithelial lining
of both uterus and vagina, as well as
uterine glands was observed in animals
injected with different doses of o-p'-
DDT specially when compared with
those of the control group (Fig. 19-25).
It was noticed that morphological
and histochemical change observed in
reproductive organs of the female mice
after receiving estrogen daily for ten
days were similar to that showed in
animals injected with high dose of o-p'-
DDT.
Legand of Figures
Collective photomicrograph (A) (1-6) : Fig. (1):Control mice ovary showing
few number of growing folli -
cles (Hx. E.X 100).
Fig. (2):Mice ovary, treated with 1
mg/injection of o-p'-DDT show
-ing increased number and size
of growing follicles (Hx.E.X.
100).
Fig. (3):Control mice uterus showing
lining epithelium and few num
-ber of uterine glands (Hx.E.X
100).
Fig. (4):Mice uterus, treated with 1
mg/injection of o-p'-DDT sho -
wing tall columnar epithelium
and increased number of uteri -
ne glands (Hx.E.X 100).
Fig. (5):Control mice vagina showing
lining epithelium of 3 cuboidal
cells (Hx.E.X 250)
Fig. (6):Mice vagina veatod with 1
mg/injection of o-p'-DDT show
-ing increased epithelial stratif
-ication with keratinization
(Hx.E.X 100).
Collective photomicrograph (B) (7-12)
Fig. (7):Control mice ovary showing
distribution of alkaline phosph
-atase activity (Modified Gom
-ori, X 100)
.Fig. (8):Mice ovary, treated with 1
mg/injection of o-p'-DDT sho -
wing increased alkaline phosph
-atase activity in growing follic
-les (Modified Gomori, X 100).
Fig. (9):Control mice uterus showing
the distribution of alkaline pho
-
Estrogenic Effect of Orthopedic
112
-sphatase activity (Modified
Gomori, X100).
Fig. (10):Mice uterus, treated with 1
mg/injection of o-p'-DDT
showing increased alkaline
phosphatase activity in surface
epithelium and uterine glands
(Modified Gomori, X 100)
.Fig. (11):Control mice vagina showing
the distribution of alkaline
phosphatase activity (Modified
Gomori, X250).
Fig. (12):Mice vagina treated with 1
mg/injection of o-p'-DDT
showing increased alkaline pho
-sphatase activity in surface
epithelium (Modified Gomori
X 250).-
Collective photomicrograph (C) (13-18) : Fig. (13):Control mice ovary showing
the distribution of RNA
(Methyl green pyronin stain
X 100)
Fig. (14)Mice ovary njected with I
mg/injection of o-p'-DDT
showing an increase in the
amount of RNA at the
growing follicles (1\4ethyl
green pyronin stain X 100).
Fig. (15) Control mice uterus showing
the distribution of RNA
(Methyl green pyronin X
100).
Fig. (16) Mice uterus injected with I
mg/injection of o-p'-DDT
showing an increase in the
amount of RNA at the surface
epithelium (Methyl green
pyronin stain X I 00).
Fig. (17) Control mice vagina showing
the distribution of RNA
(Methyl green pyronin stain
X 250).
Fig. (18) Mice vagina injected with I
mg/inj'ection of o-p'-DDT
showing an increase in the
amount of RNA at the surface
epithelium (Methyl green
pyronin stain X 100).
Collective photomicrograph (D) (19-
24): Fig. (19) Control mice ovary showing
the distribution of glycogen
(P.A.S. stain X 100).
Fig. (20) Mice ovary treated with I
mg/inj'ection of o-p'-DDT
showing increase glycogen
content in the growing follicles
(P.A.S. stain X 100).
Fig. (21) Control mice uterus showing
the distribution of glycogen
(P.A.S. stain X 100).
Fig. (22) Mice uterus treated with I
mg/injection of o-p'-DDT
showing increase glycogen
content at the lining epithelium
(P.A.S. stain X 100).
Fig. (23) Control mice vagina showing
the distribution of glycogen
(P.A.S. stain X 250).
Fig. (24) Mice vagina treated with 1
mg/injection of o-p'-DDT
showing increase glycogen in
the lining epithelium (P.A.S.
stain X 400).
-
Raifa F. EL Garieb
113
-
Estrogenic Effect of Orthopedic
114
-
Raifa F. EL Garieb
115
-
Estrogenic Effect of Orthopedic
116
-
Raifa F. EL Garieb
117
Discussion
In the environment, DDT accum -
ulates gradually and persist for long
times in the bodies of exposed species.
Thus, the presence of small amounts of
DDT in environment may not cause an
immediate harm to animal life, but may
instead induce an estrogenic hazard in
which reproduction of animals is threa -
tened. The undeveloped reproductive
organs of mice serve as convenient
target for studying the estrogenic acti -
vity of DDT. The epithelium lining of
either the vagina or the uterus of the 12-
day-old mouse similar to that of an
ovarlectomized adult female (Iguchi et
aL, 1976, Mori, 1977) and was thin and
undeveloped.
Previous studies indicated that
there was a critical period in the develo
-pment during which the undifferen -
tiated hypothalamus is sensit ' ive to the
circulating gonadal hormones. In the
mouse, this period was not ended until
about 8 days after birth (Turner and
Bagnara, 1976).
In this work, the results showed
that, the neonatal administration of the
different doses of o-p'-DDT leads to an
increase in the number of the ovarian
growing follicles as well as accelerated
developmental changes in both the uter
-us and the vagina in a dose-dependent
manner, with the higher doses produ -
cing maturation in the shorter time.
These estrogenic effects of o-p'-DDT
were in agreement with those reported
by many investigators in different
species (Welch et al., 1969; Heinrichs et
al., 1971, Nigam et al., 1977 and
Aldridge 1990).
Eroschenko and Mousa, (1979)
stated that "kepone" as one of the
estrogenic pesticides-induced changes
in the reproductive tract of the female
mouse; dentical to those observed by
the estrogen.
Huber, (1965) stated that kepone
altered the ovarian structure and distur -
bed the female hormonal balance in the
adult mice.The histochemical results
obtained in this study showed an incre -
ase in the activity of the alkaline phosph
-atase enzyme, as well as in the content
of RNA and glycogen in the different
organs studied of female mice injected
with o-p'-DDT. These results were coin
-cided with those results obtained by
Mousa et al., (1984), after using the
kepone in the neonatal mouse.
Conney and Burns (1972),
described an increased weight, water
content, glycogen and RNA in uteri and
oviducts of rats and chickens when
injected with estrogen. Donald et al.,
(1965) reported that estrogen injection
stimulated the production of both
ribonucleo-proteins and alkaline phosph
-atase enzyme. Many reports stated that
estrogenic pesticides administration incr
-eased the RNA content in the uteri and
oviducts of rats, chicken and quail
(Bitman et al., 1968, Levin et al., 1968
and Beeman 1982).
Cooke (1970) described an
increase in the glycogen content of the
oviduct of immature chicks and
Japanese quail after administration of o-
p'-DDT.
The mechanism of action of o-p'-
DDT on the mammalian reproductive
system is presently not understood.
However, since o-p'-DDT induced an
estrogenic response, it may act by
interaction with estrogen receptors in
the cells of the mouse reproductive tract
as it has been demonstrated in quail
(Turnes and Eliel 1978). Jefferies,
(1967) postulated that DDT may affect
the function of the pituitary gland or the
hypothalamus.
It can be postulated from the for
mentioned results that o-p'-DDT has a
-
Estrogenic Effect of Orthopedic
118
definite estrogenic effect which leads to
abnormalities in the ovaries and cells of
both uterus and vagina of mouse and
may interfere with ova or sperm
transport as well as the process of
implantation and pregnancy.
References :
1- Aldridge W.N. (1990) : An
assessment of the toxicological
properties of pyrethroids and
their neurotoxicity. CRC Crit.
Rev. Toxicol. 21, 80-104.
2- Beeman R.W. (1982) : Recent
advances in mode of action of
insecticide. Ann. Rev. Ent.
27:253-281.
3- Bitman J., Cecil H.C., Harris S.J.
and Fries G.F. (1968) : Estrogenic
activity of o-p'-DDT in
mammalian uterus and avian
oviduct. Science, 162:371-372.
4- Cockson A. and Morgan A.
(1976) : DDT in babies' milk
formula. Bull. Envir. Contam.
Toxical. 15:591-592.
5- Conney A.H. and Burns J.J.(1972)
: Metabolic interactions among
environmental chemicals and
drugs. Science 178: 576-586.
6- Cooke A.S. (1970) : The effect of o-
p'-DDT on Japanese quail, Bull.
Environ. Contan. Toxical. 5:152-
157.
7- Culling C.F.A. (1974) :
Histological and histochemical
techniques, 3rd ed. Butterworths
and Co., New York, London,
P. 142.
8- Donald G.; Arthur T.; Wadi A.
and Joseph T.V. (1965) :
Histochemical observation on the
endometrium. J. Obstet. And
Gynaecol. Vol. 8 No. 1:22-38.
9- Drury R.A.B. and Walington,
E.A.F. (1980) : Carleton's
Histological technique. 4th edition
Oxford University Press-London
P.85-89.
10- Edwards, R.G. (1967) : Proc. 8th
Int. Conf. of I.P.P.F., Santiago de
chile, Int. Plann. Parenth. Fedn.,
London, 381.
11- Eroschenko V.F. and Mousa M.
(1979) : Neonatal administration
of insecticide chlordecone and its
effects on the development of the
reproductive tracts in the female
mouse. Toxicol. Appl. Pharm -
acol. 49:151-159.
12- Filipe M.I. and Dowson I.M.
(1968) : Qualitative and quantit -
ative enzyme biochemistry of
human endometrium and cervix in
normal and pathological condi -
tion. J. Path. Bact. 95:243-259.
13- Gellert R.J., Heinrichs W.L. and
Swedloff R.S. (1972) : DDT
homologues : estrogen-like effects
in vagina uterus and pituitary of
the rat. Endocrinol. 91: 1095-
1100.
14- Gellert R.J., Heinrichs W.L. and
Swerdloff R.S. (1974) : Effects of
neonatally administered DDT
homologs on reproductive
function in male and female rats.
Neuroendocrinology 16:84-94.
15- Hall M. (1950) : Alkaline
phosphatase in the human
endometrium. Am.J. Obstet. 9
Gynaecol. 60:212.
16- Heinrichs W.L., Gellert R.J.,
Bakke J.L. and Lawrence N.L.
(1971) : DDT administrated to
neonatal rats induced persistant
estrus. Science, N.Y. 173:642-
643.
17- Huber J.J. (1965) : Some
physiological effects of the
insecticide kepone in the
laboratory mouse. Toxical. Appl.
Pharmacol. 7:516-524.
18- Iguchi T. (1976) : Occurrence of
permanent changes in vaginal and
-
Raifa F. EL Garieb
119
uterine epithelia in mice treated
neonatally with progestrine, estro
-gen and aromatizable or non-
aromatizable androgens endocri -
nol. Toxical. 13:401-405.
19- Jefferies D.J. (1967) : The delay
in ovulation produced by p,p'-
DDT and its possible significance
in the field. Ibis 109:266-272.
20- Kupfer D. and Bulger W.H. (1976) : Studies on the mech -
anism of estrogenic actions of
o,p'-DDT : interactions with the
estrogen receptors. Pesticide
Biochem. And Physiol. 6:561-
570.
21- Laguens R. (1964) : Effect of osetrogen upon the fine structure
of the uterine smooth muscle cell
of the rat. J. Ultrax Structure Res.
10:576.
22- Levin W., Welch R.M. and Conney
A.H. (1968) : Estrogenic action
of DDT and its analogs. Fed.
Proc. Am. Soc. Exp. Biol.
27:649.
23- Mori T. (1977) : Ultrastructure
of the uterine epithelium of mice
treated neonatally with estrogen.
Acta. Anat. 99: 462-468.
24- Mousa M.A.; Hassan M.I.;
Abdel-Aal M.E. and Khater
M.O.(1984) : Histochemical
study in the uterus and vagina of
mice after neonatal adminis -
tration of insecticide (Kepone).
Egypt. J. of Histology 8(1) :104.
25- Nigam S.K.; Kashyab S.K.;
Gupta R.C. and Karnik A.B.
(1977): Effect of technical grade
DDT on neonatal mice. Indian
J.Med. Res. 65(4) :576-578.
26- Pearse A.G.E. (1968) :
Histochemistry theoretical and
applied pp. 150 Churchill,
London.
27- Turner C.D. and Bagnora J.T.
(1976) : General endocrinology,
W.B. Saunders Philadelphia, Ch.
14.
28- Turner R.T. and Eliel L.P. (1978)
: o-p'-DDT as an estrogen-An
evaluation of its ability to
compete with Hestracliol for
nuclear estrogen receptor sites in
the quail oviduct. Bull. Environ.
Contam. Toxical. 19(2):139-142.
29- Welch R.M., Levin W. and Conney
A.H. (1969) : Estrogenic action of
DDT and its analogs. Toxical.
Appl. Pharmacol. 14:358-367.
30- Wilson D.J., Locker D.J. Ritzen
C.A, Watson J.T. and Schaffner
W. (1973) : DDT concentrations
in human milk. Am. J. Dis. Child.
125:814-817.
31- Wrenn T.R. Weyant J.R., Fries G.F.
and Bitman J. (1971) : Effect of
several dietary levels of o-p'-DDT
on reproduction and lactation in
the rat. Bull. Envir. Contam.
Toxical. 6:471-480.
-
Estrogenic Effect of Orthopedic
120
التأثير االستروجينى للمبيد الحشرى
)ت.د.د) على الجهاز التناسلى ألنثى الفأر الصغير
رئيفه فتحى الغريب
قربربربر أربربربر ب ربربربرب . مربربربك ب اربربرب بيد ربربربربت ب ربرب يش بعت ربربربلعب ربربرب ل ب عربربربلم( ت.د.د)يعتربربا بيد ربربربر ب ربربرب .ت ه تأثري بسرت أ ىن لى اري مك ب اريلت ب ط ع.د.د
ض مك هذب ب دحث هرب دعبسربش ب تغربريبت بولربت أ ش بولربت ة ل ش بالربلا ب تأللسربلى فعاربى ب ربلع ب غ ت القربربربش هربربربذي ب تغ ربربربريبت تلربربربي ب ربربربن ربربربرث عت ربربربش ب قربربربك .د.ب صربربربغري عربربربر اقألربربربه ليد ربربربر ب ربربرب ب ربربربرب د
. لالسرت أنيثربربش مأللربربل ع ربرب أ ربربلت مربربك ب ربربرب قربربر ت تقلربرب ف ب ربرب ب بيلربربتمخرمش بع تربربي ة ربربلت ا ربربث ت اقربربك ثال
ملل بم كل أ ش ة ش ت اقأللل ع أ لت مك بالسرت أني 1، 520.، 52.0ت رت ز .د.د .مك أ بم كل أ ش بجملة ش بفخرية اقألت زيت ب لةلف فقط ب تات ة ش ضل طش 15
مشع ربش بخرب مال ربش ربي قر آخذت ب ع ألربلت عربر يرب مني مربك آخرب اقربك ا ربث اارب ت مأللربل ألربلت . رعبسش ب تغريبت بي عف أ ش بولت ة ل ش ل مك مد ض عاف ملدل ب لع ب صغري
ايلدة رد ب يصالت ب أللم ش مبد ض ب لع بف رب ض ربذ ي ايربلدة ع ربلز عربزو ب سرب لت ز ب قلرب ة ربش * .ت.د.ل رب دب لمض ب أل ب ي ا بال ك أ ش ي عت ش ب قك
اظ باديلد من ب ألل ج بيدطك لرب اف هلرب ع دربرد ع ربش أريربرة قربر رب اظ ياربل باديربلد مصربلا * ع ربربلز عربربزو ب سربرب لو ب قلربرب ة ربربش ب ربربلمض ب ألربرب ب يدربرب ا بال كربرب أني ب بعربربلت ب ربربن اقألربربت
.د.د. ل رب دب غ ربل بيربدطك لةلدربل مربو تكرب يك حدقربش ا رب ش ت إع منرب خاليربل.د. ةربل د بسربتمخربم ب قربك ل ربرب د *
سربربربطح ش مصربربربح ل لاديربربربلد ع ربربربلز عربربربزو ب سربربرب لت ز ب قلربربرب ة ربربربش ب ربربربلمض ب ألربربرب ب يدربربرب ا مربربربو ايربربربلدة . بضحش ة ش بال ك أني بيرتسدش بخلاليل
لالسربرت أني مربك ب أللا ربش ت ميلثربل إع اربر دربري تربأثري ب قربك .د. قر د ت ب ألتل ج لى تأثري ب قربك ل ربرب د .بي عف أ ش بولت ة ل ش لى ال باللا ب تأللسلى بيمختل ش ل لع ب صغري